WANDA JEAN ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143221

License Status

NOT RENEWED

Business

First Name

WANDA

Middle

JEAN

Last Name

ELLIS

Business Name

WANDA JEAN ELLIS

Original Issue Date

06/17/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008